DR. SAMUEL MERRILL (NPI# 1144529769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144529769 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL MERRILL |
| Credential | MD, PHD |
| Practice Address |
64 Medical Center Drive Morgantown WV 26506 |
| Mailing Address |
64 Medical Center Drive Box 9162 Morgantown WV 26506-9162 |
| Practice Telephone | 3045986984 |
| Practice Fax Number | 3045984560 |
| Mailing Fax Number | 3045984560 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0420012849 | VT | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
29029 | WV | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
D0097056 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 Orleans St, Crb1 186, Baltimore, MD 212870013 | 4106144459 | 4109550125 |
| Street Address |
64 MEDICAL CENTER DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908954 | Tara Jawad Hajarat | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive, 2305 Hscn, Wvu Department of Pathology, Morgantown, WV 26506 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573780 | Sushil Kumar Mehrotra | Internal Medicine | 2101 Jacob St, Suite 302, Wheeling, WV 26003 | 2006-01-24 |
| 1063760676 | Ranjita Pallavi | Internal Medicine | 1 Medical Park, Wheeling, WV 26003-6379 | 2012-08-29 |
| 1033363999 | Vinay Vermani, M.d. Dba Tri State Cancer and Blood Specialist | Internal Medicine | 2520 Valley Dr, Suite 15, Point Pleasant, WV 25550-2031 | 2008-11-05 |
| 1700920485 | R.c. Jereza M.d., Inc. | Internal Medicine | 200 Raleigh Ave, Beckley, WV 25801-5944 | 2007-02-16 |
| 1902827868 | Ramon C Jereza | Internal Medicine | 200 Raleigh Ave, Beckley, WV 25801-5944 | 2006-07-23 |
| 1689645780 | Carlos Arturo Vasquez | Internal Medicine | 2101 Jacob St, Ste 302, Wheeling, WV 26003 | 2006-01-28 |
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on DR. SAMUEL MERRILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.